Aerobic capacity and isometric knee flexion strength fatigability are related to knee kinesthesia in physically active women

Abstract

BACKGROUND:

Fatiguing exercise may impair functional joint stability and increase injury risk. Musculoskeletal and physiological characteristics are related to fatigue, but their relationship with proprioceptive changes following fatigue is unknown.

OBJECTIVE:

To establish the relationship between strength and physiological characteristics and changes in knee proprioception following fatigue.

METHODS:

Physically active women (N = 20, 28.7 ± 5.6 years, 165.6 ± 4.3 cm, 61.8 ± 8.0 kg) underwent isokinetic knee strength and peak oxygen uptake (VO2peak)/lactate threshold (LT) testing during Visit 1, and threshold to detect passive motion (TTDPM) and isometric knee strength testing before and after fatiguing exercise during Visit 2.

RESULTS:

Fatigue demonstrated no effect on TTDPM despite a decrease in isometric knee flexion strength (P< 0.05). Strength and physiological variables were not significantly correlated with changes in TTDPM. VO2peak was correlated with pre-fatigue (r= -0.50) and post-fatigue (r= -0.52) TTDPM into extension (P< 0.05), and further analyses demonstrated that post-fatigue changes in isometric knee flexion strength and strength ratio were related to post-fatigue changes in proprioception (r= -0.62 and -0.40, P< 0.05).

CONCLUSIONS:

Physically active women with higher aerobic capacity exhibit enhanced knee proprioception, and may benefit from training to strengthen and reduce the fatigability of the knee flexors following intense exercise, as these changes were associated with reduced proprioception.

Keywords

Proprioception fatigue kinesthesia aerobic capacity knee injury strength

References

Skinner

, Wyatt

, Hodgdon

, Conard

, Barrack

. Effect of fatigue on joint position sense of the knee. J Orthop Res. 1986; 4(1): 112-8.

, Wang

, Cheng

HYK

. Effects of active fatiguing movement versus passive repetitive movement on knee proprioception. Clin Biomech (Bristol, Avon). 2010; 25(7): 708-12.

Miura

, Ishibashi

, Tsuda

, Okamura

, Otsuka

, Toh

. The effect of local and general fatigue on knee proprioception. Arthroscopy. 2004; 20(4): 414-8.

Agel

, Evans

, Dick

, Putukian

, Marshall

. Descriptive epidemiology of collegiate men's soccer injuries: National Collegiate Athletic Association Injury Surveillance System, 1988-1989 through 2002-2003. J Athl Train. 2007; 42(2): 270-7.

Gabbett

. Incidence of injury in amateur rugby league sevens. Br J Sports Med. 2002; 36(1): 23-6.

Gabbett

. Physiological and anthropometric characteristics of amateur rugby league players. Br J Sports Med. 2000; 34(4): 303-7.

Agel

, Olson

, Dick

, Arendt

, Marshall

, Sikka

. Descriptive epidemiology of collegiate women's basketball injuries: National Collegiate Athletic Association Injury Surveillance System, 1988-1989 through 2003-2004. J Athl Train. 2007; 42(2): 202-10.

Hootman

, Dick

, Agel

. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007; 42(2): 311-9.

Stevenson

, Hamer

, Finch

, Elliot

, Kresnow

. Sport, age, and sex specific incidence of sports injuries in Western Australia. Br J Sports Med. 2000; 34(3): 188-94.

10.

Thacker

, Stroup

, Branche

, Gilchrist

, Goodman

, Weitman

. The prevention of ankle sprains in sports. Am J Sports Med. 1999; 27(6): 753-60.

11.

Davis

. Central and peripheral factors in fatigue. J Sports Sci. 1995; 13(S1): 49-53.

12.

Allen

, Lamb

, Westerblad

. Skeletal muscle fatigue: cellular mechanisms. Physiol Rev. 2008; 88(1): 287-332.

13.

Davis

, Bailey

. Possible mechanisms of central nervous system fatigue during exercise. Med Sci Sports Exerc. 1997; 29(1): 45-57.

14.

Allen

, Westerblad

. Role of phosphate and calcium stores in muscle fatigue. J Physiol. 2001; 536(3): 657-65.

15.

Nybo

, Rasmussen

. Inadequate cerebral oxygen delivery and central fatigue during strenuous exercise. Exerc Sport Sci Rev. 2007; 35(3): 110-8.

16.

Nybo

, Nielsen

. Hyperthermia and central fatigue during prolonged exercise in humans. J Appl Physiol. 2001; 91(3): 1055-60.

17.

Knapik

, Bauman

, Jones

, Harris

JMA

, Vaughan

. Preseason strength and flexibility imbalances associated with athletic injuries in female collegiate athletes. Am J Sports Med. 1991; 19(1): 76-81.

18.

Lattanizio

, Petrella

, Sproule

, Fowler

. Effects of fatigue on knee proprioception. Clin J Sports Med. 1997; 7(1): 22-7.

19.

Rozzi

, Lephart

, Fu

. Effects of muscular fatigue on knee joint laxity and neuromuscular characteristics of male and female athletes. J Athl Train. 1999; 34(2): 106-14.

20.

Rozzi

, Yuktanandana

, Pincivero

, Lephart

. Role of fatigue on proprioception and neuromuscular control. Proprioception and neuromuscular control in joint stability. Champaign, IL: Human Kinetics; 2000. pp. 375-83.

21.

Riemann

, Lephart

. The sensorimotor system, part I: the physiologic basis of functional joint stability. J Athl Train. 2002; 37(1): 71-9.

22.

Matthews

, editor. Brain motor mechanisms. Malden, MA: Blackwell Science Inc; 1997.

23.

Benjaminse

, Habu

, Sell

, Abt

, Fu

, Myers

, et al. Fatigue alters lower extremity kinematics during a single-leg stop-jump task. Knee Surg Sports Traumatol Arthrosc. 2008; 16(4): 400-7.

24.

Chappell

, Herman

, Knight

, Kirkendall

, Garrett

, Yu

. Effect of fatigue on knee kinetics and kinematics in stop-jump tasks. Am J Sports Med. 2005; 33(7): 1022-9.

25.

Myers

, Lephart

. The role of the sensorimotor system in the athletic shoulder. Journal of Athletic Training. 2000; 35(3): 351.

26.

Torres

, Vasques

, Duarte

, Cabri

. Knee proprioception after exercise-induced muscle damage. Int J Sports Med. 2010; 31(6): 410-5.

27.

Pedersen

, Lonn

, Hellstrom

, Djupsjobacka

, Johansson

. Localized muscle fatigue decreases the acuity of the movement sense in the human shoulder. Med Sci Sports Exerc. 1999; 31(7): 1047-52.

28.

Ortiz

, Russell

, Daley

, Baumgartner

, Waki

, Lichtman

, et al. Differences in skeletal muscle and bone mineral mass between black and white females and their relevance to estimates of body composition. The American Journal of Clinical Nutrition. 1992; 55(1): 8-13.

29.

Siri

. Body composition from fluid spaces and density: analysis of methods. Techniques for Measuring Body Composition. 1961; 61: 223-44.

30.

Lephart

, Kocher

, Fu

, Borsa

, Harner

. Proprioception following anterior cruciate ligament reconstruction. J Sports Rehab. 1992; 1(3): 188-98.

31.

Abt

, Sell

, Laudner

, McCrory

, Loucks

, Berga

, et al. Neuromuscular and biomechanical characteristics do not vary across the menstrual cycle. Knee Surg Sports Traumatol Arthrosc. 2007;15(7): 901-7.

32.

Crouter

, Antczak

, Hudak

, DellaValle

DM,

Haas

. Accuracy and reliability of the ParvoMedics TrueOne 2400 and MedGraphics VO2000 metabolic systems. Eur J Appl Physiol. 2006; 98(2): 139-51.

33.

Kang

, Chaloupka

, Mastrangelo

, Biren

, Robertson

. Physiological comparisons among three maximal treadmill exercise protocols in trained and untrained individuals. Eur J Appl Physiol. 2001; 84(4): 291-5.

34.

Wilkins

, McLeod

TCV

, Perrin

, Gansneder

. Performance on the balance error scoring system decreases after fatigue. J Athl Train. 2004; 39(2): 156-61.

35.

Pallant

. SPSS survival manual: McGraw-Hill Education (UK); 2013.

36.

Domholdt

. Rehabilitation Research: Principles and Applications. Philadephia: WB Saunders; 2005.

37.

Lephart

, Giraldo

, Borsa

, Fu

. Knee joint proprioception: a comparison between female intercollegiate gymnasts and controls. Knee Surg Sports Traumatol Arthrosc. 1996; 4(2): 121-4.

38.

Grigg

, Hoffman

. Properties of Ruffini afferents revealed by stress analysis of isolated sections of cat knee capsule. J Neurophysiol. 1982; 47(1): 41-54.

39.

Lephart

, Pincivero

, Giraido

, Fu

. The role of proprioception in the management and rehabilitation of athletic injuries. Am J Sports Med. 1997; 25(1): 130-7.

40.

Stoller

, Markolf

, Zager

, Shoemaker

. The effects of exercise, ice, and ultrasonography on torsional laxity of the knee. Clin Orthop Relat rRes. 1983; 174: 172-80.

41.

Kaufman

, An

, Litchy

, Morrey

, Chao

EYS

. Dynamic joint forces during knee isokinetic exercise. Am J Sports Med. 1991; 19(3): 305-16.

42.

Appell

, Soares

, Duarte

. Exercise, muscle damage and fatigue. Sports Med (Auckland, NZ). 1992; 13(2): 108-15.

43.

Barrack

, Skinner

, Brunet

, Cook

. Joint kinesthesia in the highly trained knee. J Sports Med Phys Fitness. 1984; 24(1): 18-20.